Strategies: Rural Health

Evidence-informed programs, policies, and system changes to support rural communities in addressing their priorities and ensuring health and well-being for every community member. These solutions focus on strengthening current infrastructure, as well as employment, education, housing, and access to care.

10 Strategies
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Bicycle & pedestrian master plans

Establish a framework to increase walking and biking trails and improve connectivity of non-auto paths and trails in a particular area
Evidence Rating:
Some Evidence

Community Conditions

  • Housing and transportation
  • Diet and exercise
  • Climate

Societal Rules

  • Institutional practices
  • Governance

Building retrofits towards net zero energy

Implement retrofits to improve building envelopes, system efficiency, and renewable energy sources; comprehensive retrofits can become net zero energy buildings

Evidence Rating:
Scientifically Supported

Community Conditions

  • Climate

CAFO regulations

Establish local regulations for confined animal feeding operations (CAFOs) that address location, size, facility management, and pollution contributions to complement U.S. EPA regulations
Evidence Rating:
Expert Opinion

Community Conditions

  • Air, water and land
  • Climate

Societal Rules

  • Laws and policies

Community supported agriculture (CSA)

Establish partnerships between farmers and consumers in which consumers purchase a share of a farm’s products in advance
Evidence Rating:
Expert Opinion

Community Conditions

  • Diet and exercise
  • Climate
  • Civic and community resources

Composting

Use aerobic, natural decomposition to divert food and yard waste from landfills and create a nutrient-rich soil amendment product on an individual or large scale
Evidence Rating:
Scientifically Supported

Community Conditions

  • Air, water and land
  • Climate

Farmers markets

Support multiple vendor markets where producers sell goods such as fresh fruit and vegetables, meat, dairy items, and prepared foods directly to consumers
Evidence Rating:
Some Evidence

Community Conditions

  • Diet and exercise
  • Climate
  • Civic and community resources

Food hubs

Support businesses or organizations that aggregate, distribute, and market local and regional food products (e.g., fresh fruits and vegetables, meat, dairy, grains, and prepared items)
Evidence Rating:
Expert Opinion

Community Conditions

  • Diet and exercise
  • Climate
  • Civic and community resources

Healthy food initiatives in food pantries

Combine hunger relief efforts with nutrition information and healthy eating opportunities, often with on-site cooking demonstrations, recipe tastings, produce display stands, etc.
Evidence Rating:
Some Evidence

Community Conditions

  • Diet and exercise
  • Climate

Telemedicine

Deliver consultative, diagnostic, and treatment services remotely, especially for patients who live in areas with limited access to care or who experience transportation or mobility barriers; sometimes called telehealth
Evidence Rating:
Some Evidence

Community Conditions

  • Clinical care
  • Climate

Societal Rules

  • Institutional practices

Telemental health services

Provide mental health care services (e.g., psychotherapy or counseling) via telephone or videoconference
Evidence Rating:
Some Evidence

Community Conditions

  • Clinical care
  • Climate

Societal Rules

  • Institutional practices